Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristine Cooper, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1184131567

Kristine Cooper, NURSEPRACTITIONER is a Nurse Practitioner in Laurelton, New York. Qualified in 2017, 9 years ago. Practices with Memorial Developmental Chemo Group, a 48-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018

Practice location Address checks out

22711 130th Ave
Laurelton, NY 11413-1354
Phone: (646) 207-8437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F308199-1 (NY)

Record details

NPI number1184131567
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 6, 2018
Last updated in NPPESJanuary 6, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorial Developmental Chemo Group — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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